The CRAFFT is a (updated version of a) behavioral health screening tool for use with children ages and is recommended by the American Academy of . The CRAFFT Screening Interview. The CRAFFT is a behavioral health screening tool for use with children under the age of 21 and is recommended by the. CRAFFT is a screening tool for adolescent substance use that has been validated in outpatient general medical settings. This is the first study to examine its use.
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Approximately one half of participants had used alcohol or other drugs during the past year, and more than one fourth had experienced alcohol- or drug-related problems.
Each ADI was scored twice, first by a research assistant using the standard written instructions and then by computer using an SPSS syntax algorithm developed by the instrument’s author.
Participants were almost equally distributed across years of age; Adolescent use tol alcohol and illicit substances is quite common among pediatric psychiatry inpatients; however, little data exist on substance use screening instruments that can be used to augment thorough psychiatric diagnostic interviews.
Diagnostic classifications for substance use during the past 12 months were no use The Children’s Hospital Boston Committee on Toool Investigation institutional review board waived the requirement for parental consent in accordance with current guidelines for adolescent health research.
Am J Drug Alcohol Abuse. Due to heteroscedasticity, we used the Tamhane T2 post hoc comparison test based on a t test that did not assume equal variance. Simple yes or no questions that lend themselves to mnemonic acronyms are ideal. During the month recruitment period, providers invited adolescent patients to participate in scerening study.
The CAGE questions, which are widely used in medical settings, are a good example of this type of brief screen. To assess the ability of the CRAFFT test to discriminate among diagnostic classification groups, we first converted CRAFFT scores to ranks, then used 1-way analysis of variance and a post-hoc comparison test scrwening compare mean ranks between pairs of groups.
Neuropsychiatric Disease and Treatment. Create a free personal account to access your subscriptions, sign up for alerts, and more. This revised version of the CRAFFT screening tool incorporates changes that enhance the sensitivity of the screfning in terms of identifying adolescents with screenimg use, and presents new recommended clinician talking points, scrfening by the latest science and clinician feedback, to guide a brief discussion about substance use with adolescents.
Validity was not significantly affected by age, sex, or race.
Corresponding author and reprints: The findings on prevalence may be further limited, in that the study sample, although generally reflective of the clinic population at large, was not selected randomly. We performed a chart review of records from adolescents admitted to our inpatient psychiatric unit who completed a CRAFFT screen on admission.
Sign in to access your subscriptions Sign in to your personal account. Adolescents may use alcohol and other drugs at higher rates when not in school, and recall bias may have resulted in higher reports of past month use by participants recruited during the summer months. Drug use is highly prevalent among adolescents, 2 and most providers would likely prefer a single test that can screen for all psychoactive substances simultaneously.
A research assistant explained the study procedures to interested patients and obtained signed assent. Substance abuse has been linked to both mental and physical health problems, making settings where adolescents receive medical care ideal places for screening and early intervention. Journal of studies on alcohol.
Validity of the CRAFFT Substance Abuse Screening Test Among Adolescent Clinic Patients
A pilot study among adolescent patients who had used alcohol and other drugs found that CRAFFT had promising concurrent validity compared with a more lengthy scale. Languages Simple English Edit links. However, self-report of alcohol and other drug use has been shown to be generally reliable and compares favorably with other methods of substance use detection. A Practical GuideIssue 5th ed. If universal screening is to improve, health care systems must find ways to provide the additional resources needed for assessment of substance-using adolescents.
In our own metropolitan area, adolescents needing substance abuse treatment are most often referred to adult programs because so few adolescent-only programs exist. Few comparable validation studies have been conducted in general adolescent clinic settings, and none of these included both a risk assessment ie, the POSIT scale and a psychiatric diagnostic interview ie, the ADI.
A receiver operating characteristic area of 1 upper-left corner of the graph theoretically indicates that the test is always correct, and an area of 0. CRAFFT scores were also positively correlated with a history of psychiatric trauma and past suicide attempts, which is consistent with the results of previous studies associating pediatric substance use and traumatic life events with an increased risk of suicide. This page was last edited on 3 Octoberat The sensitivity and specificity 0.
Archivos argentinos de pediatria. These findings have serious implications for adolescent health care. We have found that laminated pocket cards listing the 6 CRAFFT questions are helpful for administering the screen in actual office practice.
Prevalence rates among adolescent patients seen in other clinics, family practices, or general pediatric practices may be different. Adult programs rarely accept younger adolescents, and they are not designed to respond to the unique developmental screeening of younger or older adolescents.
More than one half of patients in our clinic had used alcohol or other drugs during the past year, and more than one fourth had experienced serious substance-related problems.
CRAFFT as a Substance Use Screening Instrument for Adolescent Psychiatry Admissions.
We transformed participant age into a dichotomous variable ie, younger youth and older youth based on the sample median to preserve adequate cell size for analyses. This study provides good supportive evidence for the validity of the CRAFFT cafft as a substance abuse screening device craffft use among a general population of adolescent clinic patients. Substance-related problems and disorders were highly prevalent in the clinic we studied, affecting more than 1 in 4 patients.